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*-SAJ{TA <br />NA.ffi <br />Planning & Building Agency Smoke & CO <br />Alarm Affidavit <br />20 Civic Center Plaza Ross Annex <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA92702 <br />(714) 647-5800 <br />,./ r',1 st-lr.?^:i l. <br />rNSP-02 2013 CRC <br />This document moy be found at. <br />(Please use a black or blue ink ball-point pen) <br />i- i-':': -- <br />Project Address:t.t. a.1;A-fla5 <br />Permit Number:16l DLe6L <br />Property Owner: (.1 ;:r_h k <br />Contractor:License #: <br />State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential <br />buildings. <br />California Residential Code (CRC) Section R314.1and R315.2 states in part that existing dwellings be <br />"retrofitted with smoke alarms and carbon rnonoxide alarms. CRC Section R314.3 and R314.3.3 define <br />the req u ired locations. <br />f\ gorn boxes below must be checked: <br />E Carbon monoxide alarms: Are installed outside of each sleeping area in the immedlate vicinity of <br />bedrooms and also on each level of the dwelling. Alarms are required in bedrooms with gas-fired <br />appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. <br />E Smoke alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping <br />room, and on each level of the dwelling. <br />Retrofitted detectors may be battery-operated for buildings where no interior alterations are <br />performed. Combination Smoke/CO alarms must comply with all applicable standards and be approved <br />by the State Fire Marshall (SFM). Battery life must be 10 years. <br />I hereby certify that I am the contractor or the property owner of the above project. I further certify <br />that smoke alarms and carbon monoxide alarms have been installed in compliance with the governing <br />Codes and have been tested to be functional. l, also, hereby certify that I will retest the alarms per the <br />manufacturer's instructions. <br />Dote:g a-J <br />lcheck onel tr Lice n sed Con tra cto r Pr perty o wner <br />NOTE: Ihis sef- certificotion is only used for projects that olfect the EKTERIOR ol the structure. This <br />process is opplicoble ONLY to prcjects where occess to the interior ol the dwelling by o Sdntd Ano <br />lnspector is not required. <br />Signoture: <br />Have this completed form and the job-card readily available on final inspection!